Active NPI
Trevor Ewing St Denis, LPC-A, LCDC
- Professional Counselor
- Houston, TX
National Provider Identifier
1043043920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 93765
- Practice address
- 3833 Cummins St Apt 1424
Houston, TX 77027-5885 - Phone
- (713) 518-6241
- NPI assigned
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 93765 | TX | Primary |
Addresses
Primary practice location
3833 Cummins St Apt 1424
Houston, TX 77027-5885
Mailing address
3833 Cummins St Apt 1424
Houston, TX 77027-5885
Phone (713) 518-6241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
303 Jackson Hill St
Houston, TX 77007-7407
Phone (281) 200-9120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93765 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Council on Recovery | Professional | Current | Accepting new patients |
Locations
303 Jackson Hill St
Houston, TX 77007
Phone (281) 200-9120
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/councilonrecovery/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1043043920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3833 CUMMINS ST APT 1424",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770275885",
"telephone_number": "713-518-6241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3833 CUMMINS ST APT 1424",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770275885",
"telephone_number": "713-518-6241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST DENIS",
"first_name": "TREVOR",
"middle_name": "EWING",
"credential": "LPC-A, LCDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "93765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.